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HomeMy WebLinkAboutDade, Jonathan_Apptment of Campaign TreasurerAPPOINTMENT OF A CAMPAIGN TREASURER FORM CTA BY A CANDIDATE PG 1 See CTA Instruction Guide for detailed instructions. 1 Total pages filed: 2 CANDIDATE MS/MRSFIRST MI OFFICE USE ONLY NAME �o ;� 1� Filer ID# r J0. ► )aV) NICKNAME LAST SUFFIX de- Date RWrEDEIVED Qo, LMAILING 3 CANDIDATE ADDRESS / PO BOX; APT / SUITE #; CITY: STATE; ZIP CODE 1 PO 607i q 7 7 Led,`ctR oy.r�n TX ADDRESS 7-7A Z -7 -UV77 MMMT RAM d%ffAa7NRAA&d15r11111051 e 4 CANDIDATE AREA CODE PHONE NUMBER EXTENSION Receipt# Amount$ PHONE W , -3 L, Date Processed 5 OFFICE Date Imaged HELD (if any) 6 OFFICE SOUGHT //� I MCA r Of (j,-,)ir D '1'0W1� (if known) V T` 7 CAMPAIGN F.9ir1:1 . FIRST MI NICKNAME LAST SUFFIX TREASURER NAME II nn �j �l .J a C U b S U v) 8 CAMPAIGN STREET ADDRESS (NO PO BOX PLEASE);` / SUITE #; CITY, STATE; ZIP CODE TREASU 1APT SrQCi W Z."d AtA4ly/ X —1V 7 0 STTREETRER -JTvee-f ADDRESS (residence or business) 9 CAMPAIGN AREA CODE PHONE NUMBER EXTENSION TREASURER PHONE 10 CANDIDATE SIGNATURE I am aware of the Nepotism Law, Chapter 573 of the Texas Government Code. I am aware of my responsibility to file timely reports as required by title 15 of the Election Code. I am aware of the restrictions in title 15 of the Election Code on contributions from corpo)ratio s an I bar organizations. Signature of Candidate Date Signed GO TO PAGE 2 Forms provided by Texas Ethics Commission www ethics.state.tx us Revised 12/7/2017 CANDIDATE MODIFIED REPORTING DECLARATION 11 CANDIDATE NAME 12 MODIFIED REPORTING DECLARATION FORM CTA PG 2 COMPLETE THIS SECTION ONLY IF YOU ARE CHOOSING MODIFIED REPORTING •• This declaration must be filed no later than the 30th day before the first election to which the declaration applies. -- •• The modified reporting option is valid for one election cycle only. -- (An election cycle includes a primary election, a general election, and any related runoffs.) -• Candidates for the office of state chair of a political party may NOT choose modified reporting. •- I do not intend to accept more than $500 in political contributions or make more than $500 in political expenditures (excluding filing fees) in connection with any future election within the election cycle. I understand that if either one of those limits is exceeded, I will be required to file pre -election reports and, if necessary, a runoff report. 2�Z0 Year of election(s) or election cycle to Signature Of Candidate which declaration applies This appointment is effective on the date it is filed with the appropriate filing authority. TEC Filers may send this form to the TEC electronically at treasappoint@ethics.state.tx.us or Fax this form to (512)463-8808 or mail to Texas Ethics Commission P.O. Box 12070 Austin, TX 78711-2070 Non-TEC Filers must file this form with the local filing authority DO NOT SEND TO TEC For more information about where to file go to: https://www.ethics.state.tx. us/whatsnew/NewFilersGettingStarted. htmI Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 12/7/2017